Individual provider Active NPI

Jane Claire Abernathy, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1972587343
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10476 Issued in MD
Practice address
606 Highwood Dr
Baltimore, MD 21212-2724
Phone
(443) 392-1328
Fax
(443) 901-3876
NPI assigned
Nov 30, 2005
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10476 MD Primary

Addresses

Primary practice location

606 Highwood Dr
Baltimore, MD 21212-2724

Mailing address

606 Highwood Dr
Baltimore, MD 21212-2724
Phone (443) 392-1328

Other practice location 1

1501 Sulgrave Ave Ste 312
Baltimore, MD 21209-3654
Phone (443) 470-5413

Other identifiers 1

IdentifierTypeStateIssuer
L23861438OtherMDSOLE PROPRIETOR TAX ID

Other names 1

  • Ms. J Claire Abernathy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122002169 MD Practitioner - Clinical Social Worker 9234316795 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

606 Highwood Dr
Baltimore, MD 21212-2724
Phone (443) 470-5413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10476MDMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1972587343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 HIGHWOOD DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122724",
            "telephone_number": "443-392-1328",
            "fax_number": "443-901-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 HIGHWOOD DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122724",
            "telephone_number": "443-392-1328",
            "fax_number": "443-901-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Sulgrave Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093654",
            "country_code": "US",
            "telephone_number": "443-470-5413",
            "fax_number": "443-901-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "JANE",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR TAX ID",
            "identifier": "L23861438",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "ABERNATHY",
            "middle_name": "CLAIRE",
            "prefix": "MS.",
            "credential": "LCSW-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.